KASSIE PECK PLLC NPI 1316350036

NPI Information

NPI: 1316350036
Provider Name: KASSIE PECK, PLLC

Doing Business As: GREENHOUSE PEDIATRIC THERAPY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2033 W. HOUSTON STREET
BROKEN ARROW, OK
ZIP 74012
Phone: (405) 537-9101
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KASSIE PECK, PLLC is a multi-specialty clinic center in Broken Arrow, OK. KASSIE PECK, PLLC NPI is 1316350036. The provider is registered as an organization entity type.
The provider Is Doing Business As Greenhouse Pediatric Therapy.

The provider's business location address is:

2033 W. HOUSTON STREET
BROKEN ARROW, OK
ZIP 74012
Phone: (405) 537-9101
Fax: (918) 512-4823

The provider's authorized official is Kassie Ann Allison .
The authorized official title is Owner and has the following contact phone number (918) 404-1535.

The enumeration date for this NPI number is 6/10/2014 and was last updated on 7/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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